Dr. Trevan Samp, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Mt Pleasant, South Carolina
1699267021- Practice location
- 3540 Park Ave Blvd, Suite 102, Mt Pleasant, SC 29466
- Phone
- 843-800-2870
- Fax
- 843-606-5223
- Last updated
- May 11, 2023
Trevan Samp is a Dentist, Orthodontics and Dentofacial Orthopedics based in Mt Pleasant, SC. Trevan Samp practices in Mt Pleasant, SC and has the professional credentials of DMD. The NPI Number for Trevan Samp is 1699267021 and holds a License No. 22DI02655300 (NJ). The current practice location address for Trevan Samp is 3540 Park Ave Blvd, Suite 102, Mt Pleasant, SC 29466 and can be reached out via phone at 843-800-2870 and via fax at 843-606-5223.
Provider Profile Details
- NPI Number
- 1699267021
- Provider Name
- Trevan Samp
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3540 Park Ave Blvd, Suite 102, Mt Pleasant, SC 29466
- Phone Number
- 843-800-2870
- Fax Number
- 843-606-5223
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 1, 2018
- Last Update Date
- May 11, 2023
- Certification Date
- May 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3540 Park Ave Blvd
Suite 102
Mt Pleasant, SC 29466 - City
- Mt Pleasant
- State
- South Carolina
- Zip
- 29466
- Phone Number
- 843-800-2870
- Fax Number
- 843-606-5223
Provider Business Mailing Address Details
- Address
- 22 Westedge St Ste 106B
Charleston, SC 29403-6983 - City
- Charleston
- State
- SC
- Zip
- 29403-6983
- Phone Number
- 843-642-8100
License Information
- License Number (1)
- 22DI02655300
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (2)
- DS041625
- License State (2)
- PA
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (3)
- 9591
- License State (3)
- SC
- Taxonomy (3)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Orthodontics and Dentofacial Orthopedics providers near Mt Pleasant, SC
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Frequently Asked Questions
What is the NPI number of Dr. Trevan Samp, DMD?
The NPI number of Dr. Trevan Samp, DMD is 1699267021. It was assigned on June 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Trevan Samp, DMD?
Dr. Trevan Samp, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22DI02655300.
Where does Dr. Trevan Samp, DMD practice?
The practice location is 3540 Park Ave Blvd, Suite 102, Mt Pleasant, SC 29466. The office can be reached at 843-800-2870 (phone) or 843-606-5223 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699267021 directly on the NPPES registry website.